Re: Lichen Sclerosus
From: rbraun@iupui.edu
Tue Feb 3 06:34:17 1998
I was taught that some people held that incorrect view of this problem. I
do not have any vulvar texts in my office at present so I can't give a
reference. I am sure that Woddruff's text and Gardener's text on the vulva
oth state that Kraurosis is the clinical syndrome of shrinkage and
wasting of the vulva, which is usually caused by L,S, & A. L,S,&A occurs
without Kraurosis. Therefore there is a diference in the two.
R. Daniel Braun, MD FACOG
On Mon, 2 Feb 1998, Catalin Popescu wrote:
> On Mon, 2 Feb 1998 rbraun@iupui.edu wrote:
>
> > That is what I said. a "clinical diagnosis"
> >
> > R. Daniel Braun, MD FACOG
> >
> > On Mon, 2 Feb 1998, Dib Abdalla Chacur wrote:
> >
> > >
> > > rbraun@iupui.edu wrote:
> > >
> > > > You have described "Kraurosis vulvae" which is a clinical diagnosis based
> > > > on the findings you described. When biopsied, the path diagnosis is
> > > > L,S,&A. I would treat this patient without a biopsy. I would also treat
> > > > the patient who has one or two localized areas that were thin, and white
> > > > and there were no thickened areas present.
> > > >
> > > > R. Daniel Braun, MD FACOG
> > > >
> > >
> > > " Kraurosis Vulvae" is only a terminology , only a macroscopic aspect,without an
> > > caracteristic histophatology. " Kraurosis" means only an stenotic and atrofic
> > > vulva. It is important the biopsy to do a histophatologic diagnosis.
> > > I think so
> > > Regards
> > > Dib
>
> Kraurosis vulvae is used as a synonym for lichen sclerosus et atrophicus
> of the vulva (at least in dermatological textbooks). The first reference
> which comes into my hand is:
>
> Lever WF, Schaumburg-Lever G. Histopathology of the skin, JB Lipincott
> Company, 7th edition 1990, pg 310.
>
> "Lichen sclerosus et atrophicus of the vulva, also referred to as
> kraurosis vulvae...." (pg 310).
>
> but I think I saw the same definition in well-known textbooks of
> dermatology as Fitzpatrick's or Rook's
>
> ----------------------------------------------------------------------------
> Catalin M. Popescu, Dermatologist
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